- Sedgwick (Sacramento, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance General Executive Adjuster ( Remote in California with travel) As an ... losses, including handling accounting-based losses (business interruption and stock). + Examines claim forms and other records to determine insurance coverage. +… more
- Guidehouse (Minneapolis, MN)
- …to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. **This position is 100% remote ** .Daily duties for this position ... None **Clearance Required** **:** None This position is fully remote **What You Will Do** **:** + Under the...include: + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific… more
- American Family Insurance - Corporate (Houston, TX)
- …and settles claims . Demonstrate experience to perform all areas of claim adjustment activities with the highest degree of competency and independence. You will ... Lead level role that investigates and maintains highly complex property claims . Determine liability, secure information, reviews coverages, arrange appraisals,… more
- TEKsystems (Rockford, IL)
- …initiative driven by the No Surprises Act, with a mission to resolve complex claim disputes and ensure fair payment outcomes. What You'll Do + Review and validate ... claim data to determine appropriate payment outcomes. + Analyze...supporting documentation to identify the correct party in disputed claims . + Work primarily with emergency services claims… more
- UPMC (Pittsburgh, PA)
- …In-depth knowledge of medical terminology, ICD-10 and CPT-4 coding. Knowledge of health insurance products and various lines of business. Detail-oriented ... in person or virtual recipient restriction hearings. + Review Medical Pended Queue claims to understand and resolve claim referral issues through research and… more
- The Caton Companies (Staunton, VA)
- …special projects as assigned. Leads the company efforts on processing and managing borrower insurance claims . PLF provides loans in 12 states in the eastern ... written standard operating procedures for the handling of borrower insurance claims to protect company assets and... claim situations as they arise. + Ensure insurance claim documentation is attached to borrower… more
- Stanford Health Care (Palo Alto, CA)
- …collection, and resolution of all payor accounts; direct the day-to-day activities of insurance claim editing and billing, insurance follow-up, denial and ... Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** Under the general...efforts will drive actions to secure payment for all claims sent to payors. The Senior Manager serves as… more
- The Hartford (Hartford, CT)
- …theirs, too. Join our team as we help shape the future. The Claims Team Leader will manage and direct claim investigation, compensability determination, ... Oversee the completion and execution of the investigation, disposition and settlement of claims , in compliance with corporate claim standards and procedures, and… more
- AON (Burlington, VT)
- …client management and financial solutions? Do you have the expertise in captive insurance or similar industries to drive client success and inspire your team towards ... Accountant to join their dynamic team! Aon's Captive & Insurance Management team is an integral part of Aon's...of Fortune 500 companies. This is a hybrid OR remote role. Strong preference for candidates who can work… more
- TEKsystems (Mclean, VA)
- Description Responsibilities include answering incoming calls related to eligibility, benefits, claims , and authorization of services from members or providers. - ... judgment. - Contact customers to address complex inquiries or inform them of claim investigation outcomes. - Refer unresolved grievances, appeals, and claim … more
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